Got to use my neuro skills in real life!

Nursing Students General Students

Published

My husband plays hockey, and last night I was at his game when one of his teammates had a hard fall onto the ice. There were only a few of us in the stands watching, and I heard one of the players going to the opposing team's side asking if anyone was an EMT or a doctor. No one seemed to have any idea what to do and no one had medical training, so I jumped up and walked toward the ice.

My husband saw me walk up, and motioned for me to come on the ice. The ref wouldn't let me on the ice, but the player was able to get up by himself and come sit on the bench. I took his helmet off and did a neuro check on him and asked him what hurt. He never loss consciousness and his neuro check was fine, but was feeling dizzy, so I told his girlfriend to take him to the hospital down the street to get checked out.

It was kind of amazing how calm I was and how my learning in class became instinctive when the player sat down. It really felt good to be an asset and know what to do in those types of situations. Though, I keep replaying the situation again in my mind and wondering if I should have asked more questions or done things a little differently, but I know I did the priority items correctly.

I'm now re-considering this whole trauma nursing thing. :)

Specializes in Urology NP.

Wowser.

OP, this didnt go quite the way you expected it to, did it? Anyways, you are too upset now to realize the invaluable information your fellow nurses have shared with you but i bet you will not forget it and it may be very helpful to you in the future. Especially if you continue to attend hockey games :)

Anyways, there were a few questionable comments, but for the most part i have really appreciated the refresher course on head injuries, from assessment to legal issues. I have wondered at times what i would do if faced with this kind of situation and now i feel much more informed. So thank you.

Like PPs have said, in nursing you are (or should be) always willing to learn and accept advice. We are responsible for the health/lives of our patients- we should be thankful for the advice from our more experienced fellow nurses. And guess what? As you learn and expand your knowledge, you will be sharing it with others less experienced than you. It is the way of nursing. It is a very humbling profession at times. I have been in urology for 10 years. At least once daily, i get lectured by my employer/physician about some urological subject and i appreciate every moment of it. As a new fnp, i have a lot to learn as a provider, so i take that information he shares with me and then do my own research so i can learn as much about it as i can and as a result, provide more effective and safe care to my patients.

So throw your pride out the window, and be appreciative of the knowledge you have gained, which will allow you to make safer and more effective decisions in the future.

Specializes in Hematology/Oncology.

Some states offer immunity to good samaritans, but sometimes negligence could result in a claim of negligent care if the injuries or illness were made worse by the volunteer's negligence. You must act within your scope of practice, according to the states nurse practice act, and as another "reasonable and prudent" nurse would act.Laws vary greatly from state to state and it behooves one to know what applies to your state. Yes you may save someone's life by puling them from a burning car but if they end up paralyzed you can be sued for not using proper cervical spine precautions...it stinks but those are the cold real facts. There are risks in everything you do...as my Grandma used to say "The road to hell is paved with good intentions".

Good Samaritan law

In Hawaii there was a shark attack victim who died from hypovolemic shock. Her arm was bitten off

After they pulled her out of the water they performed CPR. Now while CPR is used to help the flow of blood go to the peripherals, there is a portal of exit for the blood. It makes me wonder if this could have been a cause of the patient to die.

The person did not have medical training other than CPR

Specializes in CEN, CFRN, PHRN, RCIS, EMT-P.
In Hawaii there was a shark attack victim who died from hypovolemic shock. Her arm was bitten off After they pulled her out of the water they performed CPR. Now while CPR is used to help the flow of blood go to the peripherals there is a portal of exit for the blood. It makes me wonder if this could have been a cause of the patient to die. The person did not have medical training other than CPR[/quote']

If the pt needed CPR that means they were already technically dead. Now, in this situation controlling bleeding would have been portent to do before one goes performing CPR and circulating the blood right out of the pts body.

Specializes in Gerontology RN-BC and FNP MSN student.

Life is so much easier when we remain teachable, openminded and appreciative. I have also learned not to put expectations on other people actions or responses....in a way that their responses could color my day.

I learned a lot from the responses of this thread! It has been a great post!

People fall daily where I worked...we implement 48hour fall monitoring and neuros if they hit their head. There was insight and depth here I did not know.

:-)

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
In Hawaii there was a shark attack victim who died from hypovolemic shock. Her arm was bitten off

After they pulled her out of the water they performed CPR. Now while CPR is used to help the flow of blood go to the peripherals, there is a portal of exit for the blood. It makes me wonder if this could have been a cause of the patient to die.

The person did not have medical training other than CPR

At that point of traumatic arrest....the circulating blood volume would be nothing and the peripherals shut down to protect the vital organs....I would doubt that had an impact on her survival.

Prayers for her family how sad.

This reminds me of that Holiday Inn Express Commercial.

"I'm not a nurse but I stayed at a Holiday Inn Express last night". Or in this case still in Nursing School.

The OP expected everyone to fawn over her and her greatness because of what she did. Instead people pointed out what she shouldn't have done and now has gone away with her feathers all ruffled. If she is this way on a message board I hate to think of how she is in school or clinicals when someone offers some constructive criticism.

Alright, I'm done defending myself. I feel good about what I did. None of you were there and didn't see what happened and what I did. I'm going to happy despite all of your comments.

I was on your side until now. You did what you thought was best at the time. I applaud you for jumping in and making sure the guy was okay. However, you have nurses here with years of experience giving you constructive criticism. If I were you I'd take heed. What are you going to do when you are a RN and a seasoned nurse or your preceptor tells gives you constructive criticism, are you going to through a temper tandrum like you are now?

You did alot of things I would not have done as a RN, I didn't mention them because I didn't want to rain or your parade. I mention it now because you seem to think you know it all and that is SCARY. In the future, have someone call 911. Do not remove the helmet. And never, never recommend for anyone to drive him to the hospital. I don't care if it is walking distance. You could have cause more injury.

Specializes in Hematology/Oncology.
At that point of traumatic arrest....the circulating blood volume would be nothing and the peripherals shut down to protect the vital organs....I would doubt that had an impact on her survival.

Prayers for her family how sad.

She died in the hospital from hypovolemic shock. Not on the beach or in the ambulance. I was talking to a dr about this on the island.

We don't know how much of a role it truly played but she said it was a factor.

Specializes in Neuro ICU and Med Surg.

I agree calling 911 would have been the better choice. In the OP she did say that the skater was on the bench. She didn't move him, or remove his helmet. He did these things on his own.

OP you have gotten some really good advice. Take it and keep it in mind. No one was trying to make you feel bad. Everyone was trying to give you advice to help you along your future career.

I did have my grandma with me in a store in the summer and she passed out and hit the back of her head hard on the floor. You heard the smack and the manager said "I felt that." We called 911. EMS shows up and told me I could take her home after they talked to her. I had to insist she be taken in to the hospital. Glad I did. She could have been really hurt. Thankfully no head injury, but I was scared. I didn't want the guy behind me to stand her up but he did. I quickly checked her c spine, and she said no neck pain.

I was shocked that a 90 year old woman passing out in a store would require me arguing with EMS about taking her to the hospital. They stopped saying they thought she was fine after they saw her walk. She had a concussion.

Specializes in Complex pedi to LTC/SA & now a manager.
I agree calling 911 would have been the better choice. In the OP she did say that the skater was on the bench. She didn't move him or remove his helmet. He did these things on his own. OP you have gotten some really good advice. Take it and keep it in mind. No one was trying to make you feel bad. Everyone was trying to give you advice to help you along your future career.[/quote']

She did remove his helmet which is critical. It may have seemed a good idea at the time but many posters have explained why helmet removal is high risk and should only be done by those trained to do so. And reasons why to never recommend transport to hospital in personal vehicle.

ref wouldn't let me on the ice, but the player was able to get up by himself and come sit on the bench. I took his helmet off and did a neuro check on him and asked him what hurt
Unless Good Samaritan laws apply, which most states have, no?

Good Sam laws still require competence and correct actions, do they not? Or maybe the whole point of GSLaws is that a first aider can legally screw up without consequences? Our instructors told us to say we were not nurses when out in public. I think most states do not require nurses to act, even if we want to but are not sure quite what to do.

But for OP: people are just trying to help you and all of us readers, not rain on any parade. Learn from this.

This reminds me of that Holiday Inn Express Commercial.

"I'm not a nurse but I stayed at a Holiday Inn Express last night". Or in this case still in Nursing School.

The OP expected everyone to fawn over her and her greatness because of what she did. Instead people pointed out what she shouldn't have done and now has gone away with her feathers all ruffled. If she is this way on a message board I hate to think of how she is in school or clinicals when someone offers some constructive criticism.

we all have lots to learn

+ Add a Comment